Delayed gastric emptying in nondiabetic patients with end-stage kidney disease
This study aimed to assess the gastric emptying capacity in nondiabetic patients with end-stage kidney disease (ESKD) by ultrasound. Consecutive hemodialysis patients with ESKD (n = 37) and healthy controls (n = 37) were enrolled. All ESKD patients underwent ultrasound examinations on the day of hem...
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| Veröffentlicht in: | Renal failure 2022-12, Vol.44 (1), p.329-335 |
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| creator | Wang, Cuiyu Chen, Chao Wang, Jin Guo, Xiaohua Deng, Yuechan. C. Liu, Li Zhao, Chunmei |
| description | This study aimed to assess the gastric emptying capacity in nondiabetic patients with end-stage kidney disease (ESKD) by ultrasound.
Consecutive hemodialysis patients with ESKD (n = 37) and healthy controls (n = 37) were enrolled. All ESKD patients underwent ultrasound examinations on the day of hemodialysis (dialysis day) and the day after hemodialysis (nondialysis day). Standard ultrasound examinations were performed after overnight fasting, immediately after a light meal, and at 6 h after a meal. The antral cross-sectional area and gastric emptying according to the Perlas grading system were evaluated.
Compared with the controls, patients with ESKD, on both dialysis and non-dialysis days, had significantly larger antral areas when examined in the supine position (p = 0.002 and p = 0.003, respectively), but not in the right lateral decubitus position (p = 0.452 and p = 0.512, respectively). In the supine position, the antral area of ESKD patients before dialysis (8 a.m. on the dialysis day) was larger than that at the same time on the nondialysis day (p = 0.028). The controls had a Perlas grade of either 0 or 1 at 6 h after a meal, whereas five patients (13.5%) and 11 patients (29.7%) in the ESKD group had Perlas grade 2 on the dialysis and non-dialysis days, respectively. Among patients with or without delayed gastric emptying, no differences were detected in the dialysis duration or levels of biochemical markers, except blood urea nitrogen (p = 0.038) and serum creatinine (p = 0.003).
Nondiabetic patients with ESKD had significantly delayed gastric emptying. Hemodialysis might improve gastric emptying and reduce gastric emptying delay. |
| doi_str_mv | 10.1080/0886022X.2022.2030754 |
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Consecutive hemodialysis patients with ESKD (n = 37) and healthy controls (n = 37) were enrolled. All ESKD patients underwent ultrasound examinations on the day of hemodialysis (dialysis day) and the day after hemodialysis (nondialysis day). Standard ultrasound examinations were performed after overnight fasting, immediately after a light meal, and at 6 h after a meal. The antral cross-sectional area and gastric emptying according to the Perlas grading system were evaluated.
Compared with the controls, patients with ESKD, on both dialysis and non-dialysis days, had significantly larger antral areas when examined in the supine position (p = 0.002 and p = 0.003, respectively), but not in the right lateral decubitus position (p = 0.452 and p = 0.512, respectively). In the supine position, the antral area of ESKD patients before dialysis (8 a.m. on the dialysis day) was larger than that at the same time on the nondialysis day (p = 0.028). The controls had a Perlas grade of either 0 or 1 at 6 h after a meal, whereas five patients (13.5%) and 11 patients (29.7%) in the ESKD group had Perlas grade 2 on the dialysis and non-dialysis days, respectively. Among patients with or without delayed gastric emptying, no differences were detected in the dialysis duration or levels of biochemical markers, except blood urea nitrogen (p = 0.038) and serum creatinine (p = 0.003).
Nondiabetic patients with ESKD had significantly delayed gastric emptying. Hemodialysis might improve gastric emptying and reduce gastric emptying delay.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.1080/0886022X.2022.2030754</identifier><identifier>PMID: 35188060</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adult ; antral area ; Biochemical markers ; Case-Control Studies ; Clinical Study ; Creatinine ; end-stage kidney disease ; End-stage renal disease ; Female ; Gastric emptying ; Gastroparesis - diagnostic imaging ; Gastroparesis - etiology ; Hemodialysis ; Humans ; Kidney diseases ; Kidney Failure, Chronic - complications ; Male ; Middle Aged ; Renal Dialysis ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasound</subject><ispartof>Renal failure, 2022-12, Vol.44 (1), p.329-335</ispartof><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2022</rights><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2022 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-4ef791985f4b3794bd1160dcd2bd74558000cde22927b832e6acd60a2dd661e33</citedby><cites>FETCH-LOGICAL-c562t-4ef791985f4b3794bd1160dcd2bd74558000cde22927b832e6acd60a2dd661e33</cites><orcidid>0000-0002-2004-7549</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865106/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865106/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27479,27901,27902,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35188060$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Cuiyu</creatorcontrib><creatorcontrib>Chen, Chao</creatorcontrib><creatorcontrib>Wang, Jin</creatorcontrib><creatorcontrib>Guo, Xiaohua</creatorcontrib><creatorcontrib>Deng, Yuechan. C.</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Zhao, Chunmei</creatorcontrib><title>Delayed gastric emptying in nondiabetic patients with end-stage kidney disease</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>This study aimed to assess the gastric emptying capacity in nondiabetic patients with end-stage kidney disease (ESKD) by ultrasound.
Consecutive hemodialysis patients with ESKD (n = 37) and healthy controls (n = 37) were enrolled. All ESKD patients underwent ultrasound examinations on the day of hemodialysis (dialysis day) and the day after hemodialysis (nondialysis day). Standard ultrasound examinations were performed after overnight fasting, immediately after a light meal, and at 6 h after a meal. The antral cross-sectional area and gastric emptying according to the Perlas grading system were evaluated.
Compared with the controls, patients with ESKD, on both dialysis and non-dialysis days, had significantly larger antral areas when examined in the supine position (p = 0.002 and p = 0.003, respectively), but not in the right lateral decubitus position (p = 0.452 and p = 0.512, respectively). In the supine position, the antral area of ESKD patients before dialysis (8 a.m. on the dialysis day) was larger than that at the same time on the nondialysis day (p = 0.028). The controls had a Perlas grade of either 0 or 1 at 6 h after a meal, whereas five patients (13.5%) and 11 patients (29.7%) in the ESKD group had Perlas grade 2 on the dialysis and non-dialysis days, respectively. Among patients with or without delayed gastric emptying, no differences were detected in the dialysis duration or levels of biochemical markers, except blood urea nitrogen (p = 0.038) and serum creatinine (p = 0.003).
Nondiabetic patients with ESKD had significantly delayed gastric emptying. Hemodialysis might improve gastric emptying and reduce gastric emptying delay.</description><subject>Adult</subject><subject>antral area</subject><subject>Biochemical markers</subject><subject>Case-Control Studies</subject><subject>Clinical Study</subject><subject>Creatinine</subject><subject>end-stage kidney disease</subject><subject>End-stage renal disease</subject><subject>Female</subject><subject>Gastric emptying</subject><subject>Gastroparesis - diagnostic imaging</subject><subject>Gastroparesis - etiology</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Renal Dialysis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNp9kU1v1DAQhiMEokvhJ4AiceGS4u84F0RVvipVcAGJmzWxJ1svWXuxs1T59zjstqIcuIyl8TPvfLxV9ZySM0o0eU20VoSx72esxBI4aaV4UK2oZLJRRHQPq9XCNAt0Uj3JeUMIlbplj6sTLqnWRJFV9fkdjjCjq9eQp-RtjdvdNPuwrn2oQwzOQ49Tye9g8himXN_46brG4Jo8wRrrH94FnGvnM0LGp9WjAcaMz47vafXtw_uvF5-aqy8fLy_OrxorFZsagUPb0U7LQfS87UTvKFXEWcd61wopNSHEOmSsY22vOUMF1ikCzDmlKHJ-Wl0edF2Ejdklv4U0mwje_EnEtDaQytgjGg69VRZ5W_YVthPgKJdageooJ1SwovXmoLXb91t0tmyZYLwnev8n-Guzjr9Mua6kRBWBV0eBFH_uMU9m67PFcYSAcZ8NU5wqwYSQBX35D7qJ-xTKqQxrF0d0SxZKHiibYs4Jh7thKDGL--bWfbO4b47ul7oXf29yV3VrdwHeHgAfhpi2cBPT6MwE8xjTkCBYnw3_f4_fNsG-NA</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Wang, Cuiyu</creator><creator>Chen, Chao</creator><creator>Wang, Jin</creator><creator>Guo, Xiaohua</creator><creator>Deng, Yuechan. C.</creator><creator>Liu, Li</creator><creator>Zhao, Chunmei</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><general>Taylor & Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7XB</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2004-7549</orcidid></search><sort><creationdate>202212</creationdate><title>Delayed gastric emptying in nondiabetic patients with end-stage kidney disease</title><author>Wang, Cuiyu ; Chen, Chao ; Wang, Jin ; Guo, Xiaohua ; Deng, Yuechan. C. ; Liu, Li ; Zhao, Chunmei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-4ef791985f4b3794bd1160dcd2bd74558000cde22927b832e6acd60a2dd661e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>antral area</topic><topic>Biochemical markers</topic><topic>Case-Control Studies</topic><topic>Clinical Study</topic><topic>Creatinine</topic><topic>end-stage kidney disease</topic><topic>End-stage renal disease</topic><topic>Female</topic><topic>Gastric emptying</topic><topic>Gastroparesis - diagnostic imaging</topic><topic>Gastroparesis - etiology</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Renal Dialysis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Cuiyu</creatorcontrib><creatorcontrib>Chen, Chao</creatorcontrib><creatorcontrib>Wang, Jin</creatorcontrib><creatorcontrib>Guo, Xiaohua</creatorcontrib><creatorcontrib>Deng, Yuechan. C.</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Zhao, Chunmei</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Cuiyu</au><au>Chen, Chao</au><au>Wang, Jin</au><au>Guo, Xiaohua</au><au>Deng, Yuechan. C.</au><au>Liu, Li</au><au>Zhao, Chunmei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed gastric emptying in nondiabetic patients with end-stage kidney disease</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>2022-12</date><risdate>2022</risdate><volume>44</volume><issue>1</issue><spage>329</spage><epage>335</epage><pages>329-335</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><abstract>This study aimed to assess the gastric emptying capacity in nondiabetic patients with end-stage kidney disease (ESKD) by ultrasound.
Consecutive hemodialysis patients with ESKD (n = 37) and healthy controls (n = 37) were enrolled. All ESKD patients underwent ultrasound examinations on the day of hemodialysis (dialysis day) and the day after hemodialysis (nondialysis day). Standard ultrasound examinations were performed after overnight fasting, immediately after a light meal, and at 6 h after a meal. The antral cross-sectional area and gastric emptying according to the Perlas grading system were evaluated.
Compared with the controls, patients with ESKD, on both dialysis and non-dialysis days, had significantly larger antral areas when examined in the supine position (p = 0.002 and p = 0.003, respectively), but not in the right lateral decubitus position (p = 0.452 and p = 0.512, respectively). In the supine position, the antral area of ESKD patients before dialysis (8 a.m. on the dialysis day) was larger than that at the same time on the nondialysis day (p = 0.028). The controls had a Perlas grade of either 0 or 1 at 6 h after a meal, whereas five patients (13.5%) and 11 patients (29.7%) in the ESKD group had Perlas grade 2 on the dialysis and non-dialysis days, respectively. Among patients with or without delayed gastric emptying, no differences were detected in the dialysis duration or levels of biochemical markers, except blood urea nitrogen (p = 0.038) and serum creatinine (p = 0.003).
Nondiabetic patients with ESKD had significantly delayed gastric emptying. Hemodialysis might improve gastric emptying and reduce gastric emptying delay.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>35188060</pmid><doi>10.1080/0886022X.2022.2030754</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2004-7549</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult antral area Biochemical markers Case-Control Studies Clinical Study Creatinine end-stage kidney disease End-stage renal disease Female Gastric emptying Gastroparesis - diagnostic imaging Gastroparesis - etiology Hemodialysis Humans Kidney diseases Kidney Failure, Chronic - complications Male Middle Aged Renal Dialysis Ultrasonic imaging Ultrasonography - methods Ultrasound |
| title | Delayed gastric emptying in nondiabetic patients with end-stage kidney disease |
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